Test Yourself

Case 1

HISTORY

This patient presented with a painful, pale, paraesthetic, pulseless, perishingly cold hand.

They were found to be in atrial fibrillation.

ULTRASOUND FINDINGS

This longitudinal view of the brachial artery shows thrombus within the lumen. It is wedged just proximal to the point of bifurcation into radial and ulnar arteries and can be seen to move with each heart beat.

DISCUSSION

Arterial embolism into the upper limb vessels is not uncommon. Thrombus tends to lodge at point of vessel bifurcation as occurred here.

This patient underwent successful thrombectomy and has had no further problems since anticoagulation was commenced.

SUBMITTED BY:

James Rippey


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Brachial artery thrombus

Brachial artery longitudinal section
Brachial artery thrombus